MONARCH HIGH SCHOOL

SPORTS MEDICINE


As your son/daughter prepares to participate in the athletic program at Monarch High School, I would like to take this opportunity to introduce you to, and outline the policies and procedures of our Sports Medicine Program. By doing so, I hope we can all ensure a successful athletic healthcare program where there is excellent communication and commitment between all pertinent parties ñ student athletes, parents, athletic trainer, team/attending physicians, coaches, and the athletic director.

The Knights Sports Medicine Team & Facilities:

Your Monarch High sports medicine team consists of a National Board Certified and Florida State Licensed Athletic Trainer (ATC/L), two Board Certified team physicians, and volunteer athletic training student assistants (ATSAís).

Athletic Trainer:

A Certified Athletic Trainer is an allied healthcare professional who is educated in sports medicine, clinically trained, and highly skilled in the prevention, recognition, evaluation, immediate care, and rehabilitation/reconditioning of individuals involved in all levels of sports and physical activity.


Knights Athletic Training Room:

The athletic training room is the main healthcare facility on campus where athletes receive preventative assistance, injury evaluation and treatment, and rehabilitation services. The mighty Knightsí training room in located in Building 4, in the corridor directly behind the gymnasium, between the girlsí and boysí locker rooms.

Team Physicians:

Christopher J. Troiano, MD

Board Certified in Orthopaedic Surgery

Before joining the mighty Knights of Monarch, Dr. Troiano served as the team physician at Stoneman Douglas High School for the past 12 years.  Prior to that, from 1989 to 1991, he was the team physician for varsity football at Taravella High School.  

During his career, Dr. Troiano has treated numerous student Athletes at the high school, collegiate and professional levels. He has worked as a consultant to team physicians at Lincoln Medical and Mental Health Hospital; Our Lady of Mercy Hospital; New York Medical College; and Westchester County Medical Center and Metropolitan Hospital in New York, where he did his internship and residency in Orthopaedic Surgery.

In addition to his passion for sports medicine, Dr. Troiano is an avid bodybuilder and fitness expert.

Angel Cadiz, MD

Board Certified in Pediatrics

Dr. Cadiz is a Pediatrician, trained in youth/adolescent sports injuries.   Along with Dr. Troiano, he also served as the team physician at Stoneman Douglas High School from 1991 to 2003.   Prior to that, he was the team physician at Taravella High from 1987 to 1991.   During his career, Dr. Cadiz has also treated numerous student athletes at the high school, collegiate and professional levels.   He has worked as a consultant to team physicians at Ohio State University, where he did his internship and residency in Pediatrics and adolescent medicine.   He was former Chief at Coral Springs Medical Center.

Dr. Cadiz competed in fencing as an intercollegiate athlete at Ohio State, where he lettered 3 years on the varsity fencing team.

The Knights proudly welcome Dr. Troiano and Dr. Cadiz to Monarch High!

 

Athletic Training Student Assistants (ATSAs):

All students interested in a career in sports medicine, or just better personal fitness techniques, are encouraged to volunteer as an ATSA.   ATSA volunteers will gain invaluable experience in the latest preventative, treatment, and rehabilitation techniques in sports medicine.   They will also have the opportunity to be part of the action as on-the-field observers and assistants.

Although they are an integral part of the Monarch Sports Medicine Team, student assistants will NEVER be allowed to make medical decisions or evaluate injuries.

Affiliated Medical Facilities:

The North Broward Hospital District (NBHD)   
(954) 796-3916
1600 South Andrews Avenue

Ft. Lauderdale, FL 33316


As provider to 20 high schools in Broward Public Schools, The North Broward Hospital District provides certified athletic trainers to administer standard techniques of first aid to the ill/injured athlete; protect the athlete from injury through daily evaluations, preventative taping and bracing, and hydration and conditioning; and provide coverage of various school athletic events.  In addition, a team physician(s) on staff with the NBHD is present on the sidelines for all football games, and available to treat the athlete either on the field, in the hospital, or in their medical offices.  

The principle NBHD facility for Monarch High will be:

Coral Springs Medical Center

3000 Coral Hills Drive

Coral Springs, FL 33065

(954) 344-3000

The Knights Sports Medicine Policies & Procedures:

It is the student athleteís responsibility to report ALL illnesses and injuries to the Athletic Trainer and to her/his coach(es) as soon as possible.  Student athletes can not obtain an excused absence from the Athletic Trainer, for sports activities due to illness, without first notifying her/his coach that she/he is seeking treatment.

In the event of an emergency or other serious injury, the Athletic Trainer's responsibilities are as follows:

1)   When the injury is limb/life-threatening, the Athletic Trainer will secure immediate emergency medical services, additional related health services, and transportation as required. The Athletic Trainer will then notify the studentís parent(s) or designated adult guardian(s), as necessary.  

2)   Secure the appropriate emergency/medical services in the event that the student athleteís parent(s) or designated adult guardian(s) can not be reached in a timely manner.

School Insurance Requirements:

All Monarch High School student athletes are required to be covered under an appropriate healthcare insurance policy, whether it is the standard school insurance policy and/or coverage under a private family insurance healthcare plan.

It is imperative that the student athlete immediately reports ALL athletic injuries sustained during ANY Monarch High

School sanctioned sports activities to her/his coach(es) and then to the Athletic Trainer. This is essential to ensure the appropriate paperwork is filed to obtain the maximum allowable school insurance coverage.

Procedure for Accessing the School Insurance:

1)   The Athletic Trainer or coach will complete a Student Accident Report, as required by the school district.


2)   This report is submitted to the MHS (Monarch High School) Administration office and/or Athletic Director.   A standard K-12 Accident Claim Form will subsequently be completed. Both the Athletic Trainer and NBHD will maintain copies of the accident report.


3)   This K-12 Claim Form is given to the student athleteís parent(s) or legal adult guardian(s), who must complete section II.


4)   The K-12 report must then be given to the attending physician(s) to complete Section III.


5)   The student athleteís parent(s)/legal adult guardian(s) is responsible for submitting the completed form to the appropriate insurance company.


NOTE
:   If the injury is NOT reported to the Athletic Trainer, and a physician is consulted, a note from the treating physician is required for return to sport participation. If your son/daughter has the need to see a physician due to an athletic injury sustained during a MHS-sanctioned event,  the Athletic Trainer is familiar with area physicians who treat athletic injuries and understand the high school athlete.  

The Athletic Trainer will also work in conjunction with your personal family physician or pediatrician.

Return to Play after an Injury:

Decisions regarding the release of a student athlete to partial or full sports participation require the cooperative efforts of the physician, athletic trainer, student athlete, student athleteís parent(s)/legal adult guardian(s), coach, and athletic director. Decisions will be made based on sound medical judgment, with the desired outcome of maximum athletic and general healthcare for the athlete.

The following guidelines will be used to determine player status:
1)   If a student athlete is under the care of a physician, the physician shall determine the player eligibility status of the athlete. Under no circumstances shall the coach allow the student athlete to participate in any MHS-sanctioned sports activities without specific direction from the MHS Sports Medicine Staff.   The MHS Sports Medicine Staff will always follow a "no-play" decision by the treating physician.
2)   If the student athlete is NOT under the care of a physician, responsibility regarding the player eligibility status of the athlete presides with the MHS Sports Medicine Staff.
3)   If the student athlete and/or coach disregards the decision of the MHS Sports Medicine Staff, a report will be filed by the Athletic Trainer, and the Athletic Director will be promptly notified.

AFTER CONSULTATION OR TREATMENT BY A LICENSED PHYSICIAN, A STUDENT ATHLETE MUST SUBMIT TO THE ATHLETIC TRAINER AN OFFICIAL NOTE FROM THIS PHYSICIAN BEFORE SHE/HE WILL BE ALLOWED TO RETURN TO (PARTIAL OR FULL) SPORT PARTICIPATION!!!

Instructions for Home Care of an Athletic Injury:

1)   Apply the RICES principal to control swelling, relieve pain, reduce inflammation and spasm, and promote faster healing.

R = REST  

Stay off the injured structure as much as possible, placing the least (to none) amount of stress on it

I = ICE  
Use a bag of chipped ice or a therapeutic cold pack; Place a light barrier between the ice and the injured skin (such as a thin towel); Leave the ice in place for 20 minutes, repeating every 2 hours (depending on extent of injury)

C = COMPRESSION  
Apply an elastic wrap on the injured structure, beginning at the point furthest away from the heart, and wrapping in an upward direction towards the heart. WRAP SECURELY BUT NOT TIGHTLY

E = ELEVATION
While icing (and resting), keep the injured structure elevated above the level of your heart

S = SUPPORT
Support the injured structure using a sling, crutches, cane, etc., as necessary to provide comfort and protection and to minimize use

2)   Various forms of heat may interfere with the healing process and cause increased inflammation, swelling, and pain.   This includes the use of icy/heat rubs, hot soaks, Epsom salts, etc.  Heat may provide temporary relief of symptoms initially, but it can actually lengthen the recovery period.

3)   Consult your family physician or an emergency care center  immediately if signs and/or symptoms of the injury increase or worsen.

Be sure to get all treatment recommendations and activity restrictions in writing for the MHS Sports Medicine Staff.  

Failure to provide such written reports may result in the student athleteís being withheld from ALL MHS-sanctioned sport activities until the Athletic Trainer can appropriately consult with the student athlete's treating physician.

If you have any questions regarding the Sports Medicine Program at Monarch High School, please contact the Athletic Director at (754) 322-1400 or the Assistant Athletic Director at (754) 322-1400.

LINKS:

www.sportsmedcamp.com

(SportsMed Camp for High School Athletic Trainers)

National Lightning Safety Institute

National Operating Committee on Standards for Athletic Equipment

www.ataf.org     (Athletic Trainersí Association of Florida)

www.seata.org    (Southeast Athletic Trainersí Association)

www.nata.org     (National Athletic Trainersí Association)

 

POWERPOINT LINKS:

(Presentations from the Sport Science Academy,

Mainland High School, Daytona Beach, FL)

Environmental Concerns in Sports Medicine

Head and Neck Injuries in Football: Considerations in Athletic Training

Anatomy and Common Injuries of the Elbow

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